Associate Director, Women and Newborn Health Cluster
Country
United States
Type
Full Time
Program (Division)
Women’s and Newborn Health
Additional Location Description
CHAI program country in Africa pending Leadership approval and relevant work authorisation
Telecommute
Yes
Overview
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.
CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.
At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture
Program Summary
The Women’s & Newborn Health Cluster at CHAI aims to reduce unintended pregnancies, maternal and neonatal deaths, and stillbirths by ensuring all individuals are able and empowered to access information, products and services that will meet their sexual, reproductive, maternal, and newborn health (SRMNH) needs.
We pursue global and country-focused opportunities to expand access to quality SRMNH services and create an enabling environment for the introduction and scale-up of critical SRMNH products in LMICs. At the global level, we work to ensure that a diversified supplier base can meet demand for key products and ensure commodities are affordable and of high quality. We also coordinate donors and partners around global product access strategies. At the country level, CHAI works with governments to steward SRMNH markets and address market imbalances contributing to unequal access to health commodities and services. We support governments to develop national strategies with clear targets; use data to coordinate partner resources against the plan and achieve targets; strengthen national forecasting and quantification; address supply chain bottlenecks; strengthen health worker capacity building; and strengthen performance management for the health system.
The WNH team supports the application of global learning and best practices. The team provides thought-partnership and technical assistance to programs implemented by in-country teams who lead CHAI’s valued relationships with partner governments and who possess critical knowledge of local context and operating conditions. Underlying our approach is a commitment to achieving sustainable, transformational change at scale by working in a way that strengthens health systems and government capabilities to improve SRMNH outcomes.
Position Summary
CHAI is currently working to reduce maternal deaths in at least 11 countries focusing on leading causes of maternal mortality such as postpartum hemorrhage (PPH), anemia, pre-eclampsia/eclampsia, and unsafe abortions. CHAI aims to address these health issues by increasing sustainable access to quality medicines, diagnostics, and devices and strengthening the capacity of health systems to deliver quality care.
The Associate Director will lead the sizable Maternal Health program portfolio, which includes several active workstreams aimed at reducing the key drivers of maternal mortality noted above. This position will play a critical role in developing & driving overall CHAI maternal health strategies and priorities with the end goal of ensuring improved health outcomes across countries. This role will lead a small team and work closely with
- CHAI country team colleagues who directly support the government and
- other functional CHAI experts who bring critical knowledge in areas such as supplier engagement & market shaping, regulatory affairs & quality assurance, clinical sciences, and analytics & implementation research.
The position will involve a mix of big-picture strategic leadership, strong stakeholder management, and implementation skills to execute against agreed-upon strategies and priorities. Core responsibilities for this role include directing the development and refinement of workstream strategies informed by government priorities as well as relevant data and analyses, leading consensus-building efforts with senior-level external stakeholders (e.g., from donor organizations, global health institutions, other implementing partner organizations) around strategic priorities and action-oriented next steps to improve access to essential maternal health services, and supporting manager-level staff to implement team workplans, create compelling knowledge products and useful tools, develop donor reports and presentations, and support country team counterparts through technical guidance, problem solving, and thought partnership.
The Associate Director will report to the Director of Programs on the WNH team & will work closely with other senior leaders on the WNH team including the Vice President of the WNH team as well as the leads for WNH’s Commodity Security team, Country Support team, Technical Advisory team, Newborn Health team, and Contraception team.
Responsibilities
Strategic Leadership (30%)
Cultivate a deep understanding of the evolving global maternal health context including key health trends, country needs and priorities, funding landscape and trends, product strategies, and partner ecosystem
Drive the strategic direction and vision of the maternal health program portfolio and development of product access strategies across key focus areas (e.g., postpartum hemorrhage, anemia, pre-eclampsia/eclampsia, etc.), drawing on technical expertise within WNH and across CHAI
Contribute to fundraising and proposal development, working with WNH leadership and country teams
Proactively identify opportunities for knowledge sharing related to CHAI’s maternal health work
Generally advise WNH team leadership on overall maternal health objectives, risks, and opportunities
Program Management and Implementation (25%)
Lead a team to drive maternal health strategies and workstreams forward by ensuring achievable and clear project plans are in place
Optimize use of team resources to support maternal health priorities, including restructuring project work and resources as needed should circumstances or organizational needs evolve
Guide the team to develop compelling, clear, and data-driven materials, deliverables, and key messages to shape external stakeholder discussions and meet grant expectations
Elevate any key risks to project completion or execution to WNH team leadership and as needed, horizontally and vertically across the CHAI matrix; proactively develop risk mitigation approaches
Relationship and Stakeholder Management (30%)
Become established as a respected maternal health advisor within CHAI and within the global community by building trust, demonstrating technical knowledge, and operating with a high degree of professionalism and cultural sensitivity and competency
Develop and foster relationships with key senior external stakeholders working in maternal health including global donors, procurers, implementing partners, and normative bodies
Represent CHAI in global technical working groups and with external partners and donors, engaging deeply in strategic discussions and advancing progress toward shared goals
Where relevant, oversee specific maternal health grants, including leading donor reporting & relationship management
Team & People Management (15%)
Maintain a high-performing team that can effectively work across the CHAI organizational matrix and with external stakeholders to ensure progress against key maternal health priorities
Support the professional development and growth of WNH Maternal Health team members by providing regular coaching, feedback, and technical capacity building
Make compensation and promotion recommendations for team members to WNH team leadership
Regularly seek and utilize feedback from team members to support professional growth and development
Additional responsibilities
Exemplify CHAI values and WNH team norms
Contribute to key WNH team operations and culture-building initiatives
Conduct hiring, onboarding, and mentoring of team members as requested
Execute other tasks as requested based on need and program priorities
Travel to meet with global stakeholders as well as to CHAI focus countries as needed
Qualifications
Bachelor’s degree and at least 10 years of work experience with increasing levels of responsibility, people and team management, and leadership
Demonstrated experience developing program strategies and/or product access strategies in the SRMNH space, particularly across multiple countries, influencing organizational priorities, and translating strategy into clear, actionable plans
Strong analytical (qualitative and quantitative) skills and demonstrated ability to derive strategic insights for decision-makers
Exceptional communication and interpersonal skills with a record of building trusted relationships with donors, global partners, and government stakeholders; experience representing organizational positions in high-level external forums.
Entrepreneurial and action-oriented mindset, including ability to think creatively and critically, challenge the status quo, and drive progress with limited direction in a fast-paced, results-oriented work environment
Excellent organizational and project management skills; proven ability to set direction and structure, prioritize between complex options, and uphold high performance expectations
Passionate about people development and able to help diverse team members improve skills and performance through coaching and consistent supportive accountability
Ability and willingness to travel approximately 20% of the year
Advantages
Demonstrated experience developing program strategies and/or product access strategies for maternal health specifically, particularly across multiple countries
Experience working with key donors, procurers, & partners in the maternal health ecosystem
Experience with new product introduction in LMICs
Experience fundraising for global health or SRMNH
Experience working remotely with a decentralized/remote team
Master’s degree in public health or business
Experience working in the private sector, e.g., strategy consulting, investment banking, or similar fast-paced, results-oriented environments in the pharmaceutical, biotechnology, diagnostic or medical device industries
🔗 Apply Here:
https://careers-chai.icims.com/jobs/15062/job
Senior Finance Manager
Country
United States
City or CHAI Program Country
Type
Full Time
Program (Division)
Infectious Disease – Global HIV Access Program
Additional Location Description
This role is flexible to be based in a CHAI program country.
Overview
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.
CHAI was founded in 2002 in response to the HIV/AIDS epidemic, with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.
At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication, and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skill sets and life experiences. CHAI is deeply grounded in the countries we work in, with the majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.
Program and Role Overview:
Across the Hepatitis, HIV, and TB (HHT) Cluster, CHAI serves as a global leader in expanding and accelerating access to key commodities, reducing the cost of drugs and diagnostics, and strengthening government capacity to deliver services. Through our partnerships with national governments and affected communities, CHAI’s Hepatitis, HIV, and TB programs address key landscape challenges to catalyse transformational impact by optimizing access to innovation, delivering high-quality and efficient services tailored to user needs, and sustaining country-led programs through locally driven solutions. As donor funding becomes more constrained and less predictable, programs must make increasingly complex trade-offs between scale, speed, and sustainability. Strong financial leadership is central to protecting impact and ensuring programs remain operationally and financially viable.
The Senior Finance Manager serves as the primary finance lead for the HHT cluster. The role functions as a senior strategic partner to program leadership, translating financial data into clear operational guidance and supporting major programmatic decisions, both operational and strategic. The Senior Manager is responsible for portfolio-level financial planning, risk management, and donor stewardship, ensuring resources are allocated effectively, and that program decisions reflect both strategic priorities and financial realities.
Working closely with the Vice President and Cluster Program Directors, the Senior Finance Manager oversees all financial management across the cluster, including proposal budgeting, forecasting, reporting, compliance, and audit readiness across multiple donors and countries. Once recruited, the role will also supervise a Senior Associate responsible for day-to-day grant financial operations, ensuring high-quality execution while maintaining ownership of financial strategy, stakeholder engagement, and complex problem-solving.
This position is flexible to being based in one of CHAI’s program countries pending country leadership approval and subject to the ability to obtain work authorization. See where we work here.
Responsibilities
Portfolio Financial Management and Strategy
Serve as the senior finance lead to the Vice President, HIV, Hepatitis, and TB, and Program Directors by leading the financial management of projects across the cluster portfolio
Lead portfolio-level forecasting, expenditure analysis, funding gap identification, and financial planning, translating findings into clear recommendations for senior management to support timely and effective programmatic decision-making
Support strategic planning, fundraising, and program prioritization, including identifying financial risks and implementing mitigation strategies
Standardize financial practices across disease programs within the cluster
Drive continuous improvement of financial operations by identifying inefficiencies, strengthening documentation and institutional knowledge, and standardizing best practices across grants and teams
Enhance financial visibility through consistent reporting, improved workflows, and clearer portfolio-wide financial tracking
Grant Financial Management and Oversight
Lead development of comprehensive budgets for proposals and new grants, and annual re-budgeting aligned with CHAI and donor requirements
Serve as primary finance focal point for donors and external partners, participating in donor discussions and negotiations as needed
Review donor contracts, agreements, and amendments, with specific attention and analysis of anticipated cash flows, reporting requirements, approved budgets, and other key financial implications
Coordinate with CHAI HQ finance, contracts, and audit teams to ensure compliance with donor requirements and CHAI policies including review of contracts or grant agreements with contracts team prior to signing, working with the audit team during donor and CHAI internal audits, and working with HQ Finance teams including AP, accounting, payroll, etc. to access supporting documentation.
Lead development of donor financial reports, including financial narratives and justifications, working directly with grant leads and relevant CHAI country, global, and finance teams
Serve as a focal point for the External Audit teams and CHAI HQ, including Internal Audit, to ensure all grant-related and CHAI audit requirements are met
Oversee grant financial close-out
Budgeting, Forecasting, and Performance Analysis
Lead annual budget development and reforecasting for program teams across the cluster, ensuring full funding coverage and alignment of financial projections with programmatic goals fully funded and projections align with programmatic goals
Lead the monthly financial review cycle including providing salary allocations to HQ Finance, reviewing the incurred expenses for accuracy, working on GL adjustments if inaccurate, and conducting variance analysis for any budget deviations
Develop and maintain portfolio reporting tools and dashboards to ensure alignment of financial and programmatic planning across teams
Team Leadership and People Management
Manage and develop a high-performing team, providing coaching, mentorship, and technical capacity building
Build financial management capacity among program staff, including developing training, tools, and guidance for non-finance staff
Performs other programmatic and operational duties as required
Qualifications
7–10 years’ experience in financial planning, grant management, or portfolio finance (international NGO strongly preferred)
Advanced degree; Master of Business Administration (MBA) or Master of Public Administration (MPA) a plus. Bachelor’s degree and relevant work experience can be considered in lieu of an Advanced degree.
Strong familiarity with financial systems, budgeting, accounting best practices, expense recording and reporting
Experience managing complex multi-donor grants across multiple, matrixed teams concurrently
Strong quantitative skills in financial modelling and forecasting, including use of advanced Excel features
Self-motivated and capable of working independently as well as within a team
Experience supervising or mentoring staff
Ability to translate financial information into strategic guidance
Excellent written and verbal communication skills to deliver high quality, actionable feedback on various complex issues to senior stakeholders, donors, and partners
Strong judgment, initiative, and proactive problem-solving ability
Commitment to CHAI mission and values
Ability to travel, including internationally, 3–4 times annually
🔗 Apply Here:
https://careers-chai.icims.com/jobs/15062/job
Associate Director, HR Operations and Systems Innovation
Country
United States
Type
Full Time
Program (Division)
Human Resources
Additional Location Description
Flexible to a CHAI Program Country pending country leadership approval
Telecommute
Yes
Overview
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.
CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.
At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.
Position Summary:
CHAI’s staff are our most valuable asset, and the HR Operations team plays a critical role in enabling HR to support CHAI’s 1800+ staff across 40+ countries. As CHAI transitions from largely manual HR processes to a systematized and data-driven infrastructure, the Associate Director, People Infrastructure and Systems Innovation will lead the strategic transformation of HR operations—driving efficiency, automation, operational excellence, and insights that inform organizational decision-making.
This is a strategic leadership role responsible for elevating HR operations from transactional, reactive processes to an efficient, proactive function. The Associate Director will provide strategic oversight and direction for CHAI’s HRIS transformation (led by a technical systems expert), while focusing on operational process redesign, HR metrics and storytelling, knowledge management strategy, and building scalable, efficient, and compliant HR operations. This role will directly manage two staff and provide strategic direction to a broader operations team, helping them evolve from technical execution to strategic thinking and data-driven insights.
This position is flexible to being based in a country where CHAI has operations, pending country leadership approval and subject to the ability to obtain work authorization.
Responsibilities
Strategic HR Operations Leadership & Process Excellence
Redesign and standardize employee lifecycle processes to improve efficiency, reduce operational risk, and enhance the employee experience across 40+ countries
Define and implement service-level agreements (SLAs) and process KPIs that enable data-driven performance monitoring and foster a culture of continuous improvement
Lead the transition of manual, fragmented workflows into streamlined, automated, and system-integrated solutions that enhance operational agility
Develop and maintain comprehensive SOPs and process documentation that support global HR operations and ensure compliance
Champion operational excellence through continuous process improvement, identifying inefficiencies and implementing innovative solutions
HR Metrics, Analytics & Strategic Storytelling
Provide strategic direction for the development and evolution of HR metrics and reporting that inform leadership decision-making and align with organizational priorities
Transform raw HR data into compelling narratives that connect insights across functions, identify trends, and highlight opportunities for strategic action
Partner with stakeholders to interpret data, uncover patterns, and shape the broader story of CHAI’s workforce—from staffing trends to operational efficiency to employee experience
Champion the development of intuitive dashboards and data visualization tools that make complex information accessible and actionable for non-technical audiences
Introduce innovative approaches to data analysis and storytelling that elevate HR’s strategic influence across the organization
Monitor key metrics related to staffing, operational efficiency, and compliance, proactively identifying emerging risks and opportunities
Knowledge Management Strategy & Innovation
Lead the strategic vision for HR knowledge management systems, ensuring they evolve as intuitive, scalable, and future-ready platforms for information sharing
Drive integration of knowledge tools with HRIS and broader operational systems to enable seamless access, reduce duplication, and support a unified employee experience
Champion best practices in information architecture, governance, and usability to ensure HR content remains accurate, consistent, and accessible
Identify and implement innovative tools and practices that enhance knowledge discovery, content automation, and cross-team collaboration
Strategic HRIS Oversight & Change Management
Provide strategic direction and executive oversight for CHAI’s HRIS implementation, ensuring the system supports scalability, compliance, and long-term organizational needs
Partner closely with IT, Finance, Payroll, and country HR teams to ensure cross-functional alignment and integration
Lead enterprise-level change management strategy and stakeholder communication for systems transformation
Ensure data governance, integrity, and security protocols are embedded in all systems and processes
Translate complex technical requirements into strategic priorities and communicate system benefits to leadership and end-users
People Management & Team Development
Directly manage two staff (Senior Manager, HR Systems and Manager, HR Operations), providing coaching, mentorship, and professional development
Help team members transition from technical/operational execution to strategic thinking, data interpretation, and proactive problem-solving
Foster a collaborative, accountable, and mission-driven team culture that values innovation and continuous improvement
Build capability across the broader operations team (4 additional staff) in process improvement, metrics interpretation, and strategic communication
Qualifications
Required:
Bachelor’s degree and 7+ years of progressive experience in HR operations, process improvement, or organizational transformation
Proven track record leading operational excellence initiatives, including process redesign, automation, and efficiency improvements in complex, multi-country environments
Strong ability to translate data into strategic insights and compelling narratives; experience using data visualization tools (Tableau, Power BI) to tell stories that drive decision-making
Demonstrated success managing knowledge management strategies and tools in large, geographically distributed organizations
Deep understanding of HR lifecycle processes, compliance requirements, and operational best practices across diverse regulatory environments
Excellent project management skills with ability to manage multiple complex initiatives and tight deadlines
Exceptional interpersonal and cross-cultural communication skills; ability to influence and partner effectively with stakeholders at all levels
Strong analytical mindset with experience designing, implementing, and interpreting HR metrics and KPIs
Proven success building and developing diverse, high-performing teams and helping team members grow into more strategic roles
Preferred:
Experience providing strategic oversight (not necessarily hands-on implementation) of HRIS or other enterprise system transformations
Familiarity with SQL for data extraction and analysis
Experience in nonprofit, international development, or similarly complex global organizations
Familiarity with total rewards and compensation systems
Understanding of international labor compliance, particularly in emerging markets
🔗 Apply Here:
https://careers-chai.icims.com/jobs/14848/job
Global Controller – Finance Accounting
Country
United States
Type
Full Time
Program (Division)
Finance – Accounting
Additional Location Description
Can be based in any of our program countries, subject to country leadership approval and work authorization.
Telecommute
Yes
Overview
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.
CHAI was founded in 2002 in response to the HIV/AIDS epidemic, with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.
At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication, and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skill sets and life experiences. CHAI is deeply grounded in the countries we work in, with the majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.
Position Summary
CHAI is seeking a Global Controller to lead the organization’s core financial operations and drive an ambitious finance modernization agenda. Reporting directly to the Chief Financial Officer, the Global Controller will oversee global accounting and consolidation, payroll, accounts payable, and external audit and compliance functions across a 30-person team, while providing support to finance teams in 35 country offices.
This is a transformational leadership role. CHAI’s finance function is at an inflection point. The organization is implementing a new ERP system, modernizing legacy processes, and building the controls infrastructure needed to support continued global growth. The ideal candidate is not just an experienced controller but a change agent who is energized by the opportunity to build and empower a team that will redesign systems from the ground up, leverage AI and automation to improve efficiency, and establish a modern, high-performing finance operation.
The Global Controller will also set the tone for a finance organization that operates as a true service partner to the broader organization building a culture of responsiveness, collaboration, and proactive support, and serving as a trusted thought partner to leaders across CHAI’s global teams.
Base Location is flexible to countries in which CHAI operates in Africa, subject to country leadership approval and work authorization. See where we work here.
Responsibilities
Team Leadership
Lead, develop, and manage a team of approximately 30 finance professionals across accounting, payroll, AP, and audit/compliance functions
Instill a culture of customer service across the Controller’s Office, ensuring finance is considered an accessible, responsive partner to program and country teams
Foster a culture of continuous improvement, accountability, and service orientation
Recruit, mentor, and retain high-performing staff; build team capabilities to support CHAI’s evolving finance function
Financial Reporting & Close
Own the global monthly, quarterly, and annual close process, driving significant reductions in close timelines through process improvement and team development
Ensure accurate, timely consolidation and reporting across all CHAI entities in compliance with US GAAP
Build and empower the accounting team to identify and eliminate manual bottlenecks and spreadsheet-dependent workflows
Finance Modernization & Systems
Serve as a key stakeholder in CHAI’s ERP implementation, ensuring all relevant requirements are represented and that the accounting, AP, and payroll teams are prepared for adoption
Champion the use of AI-driven tools and automation across functions to improve efficiency in accounting, AP, payroll, and reporting
Drive the transition of accounts payable and payroll from email and spreadsheet-based workflows to a closed, automated system
Continuously evaluate and modernize finance processes, controls, and technology to reflect best practices
Internal Controls & Compliance
Strengthen CHAI’s internal control environment, leading remediation of existing control deficiencies and building a sustainable controls framework
Ensure compliance with US GAAP, donor requirements, local statutory requirements, and CHAI’s internal policies across all entities
Oversee the global statutory audit, coordinate country-level audits across 35 offices, and manage relationships with external auditors
Ensure tax compliance and sound legal entity management across CHAI’s global structure
Finance Operations
Ensure accurate and on-time global payroll processing every pay period across all countries, driving stabilization and improvement of payroll systems and processes
Lead the AP team through the transition from manual to automated workflows, establishing clear policies, service levels, and controls for vendor payments across all CHAI offices
Provide technical guidance, oversight, and support to finance teams across CHAI’s 35 country offices, serving as a resource and escalation point for complex accounting, compliance, and audit matters
Drive development of standardized processes, templates, and training to build capability and consistency across the global finance function
Qualifications
Bachelor’s degree in Accounting, Finance, or a related field
12+ years of progressive accounting and finance leadership experience, including at least 5 years in a controller or senior financial management role
Significant experience in a large, international nonprofit organization with multi-country operations, donor-funded programs, and project-specific funding structures
In-depth knowledge of US GAAP, nonprofit accounting, grant/contract compliance, and multi-entity consolidation
Proven track record leading finance transformation initiatives including ERP implementations, process redesign, controls remediation, or systems modernization
Experience managing teams of 20+ people across multiple functional areas
Demonstrated ability to dramatically improve financial close timelines, controls environments, or operational efficiency
Strong leadership and communication skills with the ability to influence across a decentralized, global organization
Enthusiasm for leveraging AI, automation, and modern tools to reimagine finance operations
Familiarity with multi-currency operations and international payroll
Experience managing or coordinating statutory audits across multiple jurisdictions
Advantages
CPA, CMA, or equivalent professional certification
Experience with ERP implementation or migration projects (design through go-live)
Prior work in global health, international development, or a mission-driven organization
🔗 Apply Here:
https://careers-chai.icims.com/jobs/15129/job
Senior Associate, Private Finance, Health Systems Strengthening
Country
Kenya
City
Nairobi
Type
Full Time
Program (Division)
Health Systems Strengthening – Health Financing
Additional Location Description
This position may be based in Kenya, Rwanda, Nigeria, or another sub-Saharan CHAI program country, subject to country leadership approval and work authorization requirements.
Overview
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.
CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.
At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.
Team Overview
CHAI’s Health Systems Strengthening group is building out a Private Finance capability focused on catalysing private investment into health systems in sub-Saharan Africa. The team works between private health providers, financiers and governments to address structural bottlenecks that prevent capital from flowing to high-impact health services at scale.
The private sector already plays a critical role in health systems in sub-Saharan Africa, from retail pharmacies and primary care, to diagnostics and specialised medical treatments, supply chains, and essential non-clinical service providers such as oxygen, logistics, and energy. As donor funding declines, the role of private providers is expected to become even more important to complement public healthcare delivery and expand access to affordable, high-quality care.
Despite their critical role in health systems, many high-impact health businesses face persistent financing constraints that limit their scale. Across the region, health SMEs sit in a ‘missing middle’, too large for microfinance but too small or too risky for most development finance institutions. Where local currency debt is available, it is typically short-tenor and high-cost, while hard currency lending comes with often unsustainably high FX risk. These dynamics result in high risk premiums and under-investment, even where health impact is clear.
Position Overview
As an initial use case, the Private Finance team has supported governments across African countries to structure and execute solar electrification programs for health facilities, working with lenders, developers, and public counterparts to develop investable project pipelines and financing approaches. This has created a strong foundation in deal execution, public-private contracting, and mobilizing finance against measurable health impact.
Building on this foundation, the team is expanding into broader healthcare private finance. The goal will be to build strong relationships with disruptive private healthcare providers across SSA (starting with priority markets), identify their specific financing needs and constraints, and leverage CHAI’s network of commercial and concessional financiers to design and implement replicable financing structures to meet these needs.
This is not a traditional NGO role. The Senior Associate will help build out a scalable private finance platform that that sources high-impact health businesses, gets them investment-ready, and unlocks appropriate capital (local currency debt, growth equity, and risk-sharing structures) so they can expand access to affordable, high-quality care. The role offers high autonomy, exposure to senior stakeholders, and the opportunity to build a scalable model for crowding-in private capital for health impact in Africa.
We are seeking a highly motivated, entrepreneurial individual with outstanding analytical capabilities, problem-solving ability and communication skills. The Senior Associate must be able to function independently in a remote environment and have a strong commitment to excellence. CHAI places great value on relevant personal qualities: resourcefulness, humility, responsibility, tenacity, independence, energy, and work ethic.
This position may be based in Nairobi, Kenya; Kigali, Rwanda; or Lagos, Nigeria. Other CHAI program countries in sub-Saharan Africa may be considered, subject to leadership approval and work authorisation.
The role will require an ability to travel internationally up to 25-30%, meeting stakeholders and coordinating across regions.
Responsibilities
The Senior Associate will play a core role across investment sourcing, execution, diligence, and deal structuring to support high impact private health companies across sub-Saharan Africa to expand their reach, while working closely with commercial investors and development finance institutions to design and stand up financing mechanisms that can be replicated across markets and subsectors.
(i) Develop an in-depth understanding of high-potential health companies and key financing constraints in the private health market in sub-Saharan Africa
Build and manage a sourcing and screening pipeline, including clear investment-readiness criteria and triage processes to prioritise the highest potential businesses across focus markets.
Engage with businesses across priority health areas (e.g., primary care, diagnostics, oncology, oxygen, pharmacy, and supply chains) to understand market dynamics, identify disruptive business models and technologies, and identify recurring constraints in access to capital and scaling.
Build relationships with financiers across the capital spectrum (e.g., microfinance institutions, local commercial banks, impact investors and development finance institutions), to understand barriers in underwriting healthcare investments and constraints in deploying capital.
(ii) Design, pilot and scale blended finance and risk-sharing mechanisms that unlock investment in health systems
Work with commercial and concessional financiers, donors, and governments to design replicable financing structures tailored to overcome key constraints in access to capital for healthcare, and coordinate de-risking arrangements required to support these structures.
Pilot mechanisms to validate design assumptions and enable initial capital deployment.
Support development of light-touch M&E frameworks to track financial performance and health impact at the mechanism level.
Translate financing designs into implementable structures, including standardised term sheets, eligibility criteria, governance arrangements, and monitoring frameworks.
(iii) Provide targeted transaction support to high impact companies
Work directly with founders and management teams to build/refine financial models, unit economics, and fundraising materials (e.g., data room, investor memo, capital plan), and run targeted investor/bank outreach through to term sheet/credit approval.
(iv) Support communication and strategic projects related to CHAI’s Private Finance work
Develop clear, structured presentations and materials to inform decision-making by governments, donors, investors, and CHAI leadership.
Support strategic projects related to CHAI’s Private Finance work, including scoping new financing opportunities, developing concept notes, and advising CHAI teams on opportunities to mobilize private capital for health impact.
Qualifications
Bachelor’s or advanced degree in Business, Economics, Finance, or a related field; CFA or equivalent a plus.
4-7 years of full-time experience in venture capital, growth equity, investment banking, private equity, corporate finance, transaction advisory, or structured finance, with demonstrated experience in deal execution, capital raising, or investment readiness advisory. Prior experience working directly with SMEs or growth-stage businesses in emerging markets strongly preferred.
Prior work experience in sub-Saharan Africa strongly preferred, or demonstrated experience working in emerging markets and with growth-stage businesses in resource-constrained settings.
Demonstrated ownership of complex Excel-based modeling work with expertise in financial modelling and financial statement analysis.
Hands-on experience in corporate/project finance structuring, including exposure to debt, equity, or blended finance transactions.
Comfortable working with imperfect information and “messy” SME financials, and able to impose structure quickly.
Demonstrated track record of supporting companies or projects through capital raising, investment readiness, or transaction execution, with ability to show tangible outcomes (capital deployed, deals closed, or material improvement in investment readiness).
Strong written and verbal communication skills in English; experience developing Microsoft Powerpoint presentations for senior executives.
Attributes:
Strong analytical and financial modeling skills: able to independently build and maintain complex, flexible, auditable models in Microsoft Excel to inform decision making.
Entrepreneurial mindset: self-starter who thrives in fast-paced, unstructured environments and consistently delivers high-quality outputs.
Detail-oriented and structured thinker: skilled at working through complexity and uncertain operational challenges with resilience and adaptability.
Strong interpersonal skills and collaborative approach: able to build relationships and interact with confidence, humility and respect with diverse partners, including government officials, private sector representatives, and NGOs.
Commercial and investor-facing maturity: comfortable engaging confidently with founders, commercial banks, Development Finance Institutions, and investors, and able to translate between health impact goals and commercial financing requirements.
What success looks like (first 6–12 months):
Strong network of health businesses and financiers developed across priority markets and service delivery areas.
Robust understanding of key systemic constraints in healthcare investment in SSA.
2-3 high impact financing mechanisms designed with stakeholders aligned and plan for execution.
Capital raising support provided to 3-5 high impact health businesses.
🔗 Apply Here:
https://careers-chai.icims.com/jobs/15063/job
Senior Analyst, Finance & Operations, Health Systems Strengthening
Country
Kenya
City
Nairobi
Type
Full Time
Program (Division)
Health Systems Strengthening – Health Financing
Additional Location Description
Open to All Country Offices (contingent on Country Director approval)
Telecommute
No
Overview
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.
CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.
At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.
Program Overview
CHAI’s Health Systems Strengthening group works with governments to build stronger, more resilient, and more equitable health systems, ensuring that everyone, especially the most vulnerable, can access high-quality primary health care. We support Ministries of Health and Finance to increase and optimize health spending, strengthen national systems (e.g., workforce, digital infrastructure, supply chains), and implement cross-cutting reforms that drive long-term improvements in service delivery and health outcomes. This includes work to improve the efficiency, equity, and impact of health financing systems—from resource mobilization and budgeting to strategic purchasing and public financial management.
This work often plays a key role in supporting and enabling teams across CHAI including Infectious Diseases, Non-Communicable Diseases and Assistive Technologies, Maternal and Newborn Health and Child Health.
Position Overview
CHAI’s Health Systems Strengthening (HSS) team supports governments to strengthen core health system functions and steward scarce resources more effectively, particularly in the context of declining external aid and increasing pressure on domestic health financing. Strong financial planning, grant management, and operational discipline are central to this work.
To support these efforts, CHAI is seeking a Finance & Operations Senior Analyst to join the Health Systems Strengthening cluster. This role will play a critical role in ensuring high-quality financial management across the team’s portfolio, supporting grant budgeting, financial reporting, and operational processes that enable effective program delivery.
Reporting to the Associate Finance Director for Health Systems Strengthening, the Finance & Operations Senior Analyst will contribute to the continued development and strengthening of the team’s finance and operations function. The role will work closely with technical teams, finance colleagues, and the Contracts department to support grant proposal development, track and analyze grant financial performance, ensure compliance with donor requirements, and maintain strong internal financial controls. This is a fast-paced, hands-on role well suited to a highly analytical, detail-oriented professional who is motivated by mission-driven work and collaborative problem solving.
Responsibilities
Grant budgeting and financial planning
Support the development of grant proposal budgets and departmental operating budgets in close collaboration with technical teams and finance leadership.
Assist in aligning budgets with programmatic priorities, donor requirements, and internal financial policies.
Maintain and update budget monitoring tools and grant tracking models to support effective financial planning and decision-making.
Grant financial management and reporting
Support the preparation of accurate and timely grant financial reports for internal and external stakeholders.
Monitor grant expenditures against approved budgets, identify variances, and flag risks or issues for follow-up.
Analyze financial data and prepare summary analyses and reports to support management decision-making.
Assist with monthly reviews of grant expenditures in the General Ledger and help coordinate any required reclassifications or corrections.
Maintain records related to grant funds in the organization’s financial systems, ensuring data accuracy and completeness.
Compliance and coordination
Collaborate with the Associate Finance Director and the Contracts Department to review financial components of grant agreements and contracts.
Support compliance with organizational policies and donor requirements, including tracking reporting deadlines and financial conditions.
Monitor cash flow and foreign exchange impacts across grants, flagging potential implications for budgets and forecasts.
Operational support
Contribute to the development and refinement of finance and operations processes to improve efficiency, transparency, and consistency across the team.
Coordinate and participate in special projects related to finance, operations, or grant management, as needed.
Work collaboratively across teams to support a strong, service-oriented finance function and team-based culture.
Operational administration
Plan, coordinate, and manage logistics for team conferences, summits, workshops, and retreats, including venue sourcing, agenda development, participant communication, and on-the-day execution.
Manage scheduling and calendar coordination for the team, including facilitating cross-time-zone meetings, tracking key deliverable deadlines, and ensuring leadership is prepared for internal and external engagements.
Maintain and organize shared team resources, including document repositories, templates, trackers, and standard operating procedures, ensuring information is accessible, up to date, and consistently applied across the team.
Assist with travel coordination and expense processing for team members, including visa support, travel advances, and post-trip reconciliation.
Support procurement and vendor management activities, including obtaining quotes, tracking purchase orders, and coordinating with suppliers to ensure timely delivery of goods and services.
Proactively identify and take on ad hoc operational needs across the team, bringing a “go-getter” mindset to fill gaps, improve processes, and ensure the team runs smoothly day to day.
Qualifications
BS/BA in Business, Finance, Accounting, Operations, or related field.
2-4 years of relevant experience (prior experience with an international non-profit/NGO is an advantage).
Advanced Microsoft Excel skills, and strong financial analysis and modeling skills.
Ability to pay close attention to detail with a high degree of accuracy.
Dynamic individual with strong interpersonal, analytical and problem-solving abilities.
Excellent written and oral communication skills.
Self-motivated and capable of working independently as well as within a team.
Ability to prioritize tasks while working in a fast-paced, limited-structured environment.
Proven customer service orientation and ability to work collaboratively with diverse finance and non-finance groups.
Highest ethical standards, a deep sense of collegiality, as well as a strong desire to create positive change on a big scale.
🔗 Apply Here:
https://careers-chai.icims.com/jobs/15061/job
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